MEDICARE: DR. ALEXIS MORALES PHARM.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PS48325	FL

General Provider Information

NPI Number	:	1376880369
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEXIS MORALES PHARM.D.

Provider Business Mailing Address
First Line	:	4720 PORTOFINO WAY
Second Line	:	APT 204
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-8182
Country	:	US
Telephone Number	:	561-596-7305
Fax Number	:

Provider Business Practice Location Address
First Line	:	1910 LAKE WORTH RD
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33461-4228
Country	:	US
Telephone Number	:	561-533-6885
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2013
Last Update Date	:	01/10/2013

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